Organization Active NPI

Az Neurohome, LLC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1114856077
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AZ NEUROHOME, LLC
Practice address
2550 E Rose Garden LN Unit 71363
Phoenix, AZ 85050-7715
Phone
(602) 510-0413
NPI assigned
May 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janel Randle, MC, LPCNPI 1902132343
Title
Clinical Director
Phone
(480) 250-4245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2550 E Rose Garden LN Unit 71363
Phoenix, AZ 85050-7715

Mailing address

2550 E Rose Garden LN Unit 71363
Phoenix, AZ 85050-7715

National Provider Directory

National Provider Directory

Locations

2550 E Rose Garden Ln
Unit 71363
Phoenix, AZ 85050
Phone (602) 510-0413

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1114856077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 E ROSE GARDEN LN UNIT 71363",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E ROSE GARDEN LN UNIT 71363",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507715",
            "telephone_number": "602-510-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ NEUROHOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-17",
        "status": "A",
        "authorized_official_last_name": "RANDLE",
        "authorized_official_first_name": "JANEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-250-4245",
        "authorized_official_credential": "MC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.